Provider Demographics
NPI:1194557355
Name:TUCSON THERAPY AND CONSULTATION SERVICES PLLC
Entity type:Organization
Organization Name:TUCSON THERAPY AND CONSULTATION SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ROSARIO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CERVANTEZ
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:520-245-7373
Mailing Address - Street 1:6675 S SQUAWROOT PL
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85756-5103
Mailing Address - Country:US
Mailing Address - Phone:520-245-7373
Mailing Address - Fax:
Practice Address - Street 1:6675 S SQUAWROOT PL
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85756-5103
Practice Address - Country:US
Practice Address - Phone:520-245-7373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-16
Last Update Date:2024-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty